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General NPI Number Information
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NPI Number | 1205740529
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Entity Type | Organization
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Legal Business Name | COMPASSION CONNEXION COMMUNITY SERVICES, LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 738 HUNTSMAN RD
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City | SANDSTON
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State | VA
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Zip | 23150-2238
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Country | US
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Telephone | 804-908-6685
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Fax | 804-800-2446
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Provider Business Mailing Address
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Address Line | 738 HUNTSMAN RD
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City | SANDSTON
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State | VA
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Zip | 23150-2238
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Country | US
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Telephone | 804-908-6685
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Fax | 804-800-2446
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. NICOLE DOMONIQUE COOK-BROGDON
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Credential | LCSW, MSHA
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Telephone | 804-908-6685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NULL
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